Cerebrovascular Disturbances
Arteriosclerotic psychosis is characterized by:
. onset between 50 and 65
. prodromal symptoms of fatigue and dizziness
. exaggeration of previous characteristics
. Sudden apparent change in character
AOAWYS . all of the above REF. p. 267
Patients with cerebral arteriosclerosis are especially apt to
show the following symptoms when they get a mild infection:
A. circumstantiality
B. anhedonia
C. blunting
D. confabulation
E. confusion REF. p. 269
In cerebral arteriosclerotic disease, an acute brain syndrome
may develop secondarily to:
. drug intoxication
. malnutrition
. physical illness
. A, BandC REF. p. 272 HOOD A andB
The following factors can lead to postoperative psychosis:
. hypotension and cardiac arrhythmias
. social and sensory isolation
. sleep deprivation
. postoperative stress
AOAWS . all of the above REF. p. 272
For the United States, all of the following statements are true
. 12,000 alcoholics die each year from chronic alcoholism
. 5 out of 6 alcoholics are men between 30 and 55 years of
. rates for alcoholism are low in Irish Americans, and high
in Orthodox Jews
. psychotic reactions may occur secondarily to alcoholism
. risk of automobile accidents increases significantly with
blood alcohol levels of 50-100 mg percent REF. p. 632
We AoQ
The following are true of ethanol except:
A. 71 calories per gram
B. increased requirement for vitamins
C. production of hypoglycemia in people who have not eaten
D. 50% excreted from lung, kidney and skin
E. blood levels of 80 mg percent impair dark adaptation
REF. p. 637-638
Pathological intoxication is characterized by:
A. clear consciousness
B. withdrawal
C. auditory hallucinations
D. death
E. impulsive destructiveness REF. p. 642
Alcohol withdrawal produces:
. early alkalosis
. hypomagnesemia
. alkalosis and hypomagnesemia
hypocalcemia > HOW hyperglycemia and hypomagnesemia REF. p. 642
“Delirium tremens” is:
A. rare in those under 30 years of age
B. rare for people with less than 3 years of drinking
C. preceded by restlessness and disturbed sleep
D. associated with auditory hallucinations
E. A, BandC REF. p. 642
“Delirium tremens” manifests all of the following except:
. clouded consciousness
. hypothermia
. coarse tremor
. rapid pulse
. albuminuria REF. p. 642
he differential diagnosis of ‘DT’s” includes:
. alcoholic hallucinosis
. acute pancreatitis with hallucinatory psychosis
. acute hepatic insufficiency
. pathological intoxication
AUVADYONWrH . all of the above REF. p. 642
Treatment of ‘DT’s” includes:
A. chlordiazepoxide
B. correction of fluid and electrolyte imbalance
C. thiamine chloride and nicotinic acid
D. magnesium, if serum level under 2 mEq/l
E. all of the above REF. p. 645
The patient with hepatic coma is characterized by all of the
following except:
. responsiveness
. hyperphagia
. infrequent visual hallucinations
. “flapping” tremorAONWS . “triphasic wave” on EEG in 25% of cases REF. p. 644
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